MRI lower back without contrast at Inova Loudoun Hospital. CPT 72148.
What Inova Loudoun Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$835cash price (self-pay)
$1,670list price
$242–$2,629range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| aetna | medicare advantage | $242 |
| anthem | medicare advantage | $242 |
| united | medicare advantage | $242 |
| sentara health | medicare advantage | $247 |
| cigna | medicare advantage | $251 |
| kaiser | medicare advantage | $251 |
| humana | medicare advantage | $266 |
| anthem | medicaid advantage | $345 |
| united | medicaid advantage | $352 |
| sentara health | medicaid advantage | $355 |
| humana | medicaid advantage | $359 |
| aetna | medicaid advantage | $362 |
| kaiser | medicaid advantage | $380 |
| united | nonoptions | $529 |
| united | options | $529 |
| united | exchange | $529 |
| anthem | exchange hmo | $565 |
| anthem | hmo | $651 |
| anthem | ppo | $651 |
| kaiser | hmo | $1,303 |
| kaiser | ppo | $1,303 |
| sentara health | exchange | $1,687 |
| cigna | hmo | $1,876 |
| cigna | ppo | $1,876 |
| cigna | exchange | $1,876 |
| carefirst | hmo | $2,068 |
| innovation | fully insured | $2,149 |
| sentara health | hmo | $2,219 |
| sentara health | ppo | $2,219 |
| carefirst | ppo | $2,243 |
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